Provider Demographics
NPI:1477728350
Name:GATTO, KATIE HELEN (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:HELEN
Last Name:GATTO
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 HUNTINGTON LN
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:PA
Mailing Address - Zip Code:18414-9104
Mailing Address - Country:US
Mailing Address - Phone:570-563-0148
Mailing Address - Fax:
Practice Address - Street 1:404 E HARFORD ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1028
Practice Address - Country:US
Practice Address - Phone:570-563-0148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000244L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASL000244LOtherCOMMONWEALTH OF PENNSYLVANIA